Organization Active NPI

Pulmonary and Sleep Medicine Consultants, PLLC

  • Pulmonary Disease Physician
  • Newton, MA
National Provider Identifier
1407345218
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
151498 Issued in MA
Legal business name
PULMONARY AND SLEEP MEDICINE CONSULTANTS, PLLC
Practice address
150 California St
Newton, MA 02458-1005
Phone
(617) 939-6497
NPI assigned
May 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Inna Vernovsky, MDNPI 1871569681
Title
Owner
Phone
(617) 939-6497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 151498 MA Primary

Addresses

Primary practice location

150 California St
Newton, MA 02458-1005

Mailing address

200 Temple St
Newton, MA 02465-2316
Phone (617) 733-4255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180717001799 MA Part B Supplier - Clinic/Group Practice 5890042303 Receives reassigned benefits from 1 practitioner
Practice locations: Newton, MA

National Provider Directory

National Provider Directory

Locations

2000 Washington St
Ste 543
Newton Lower Falls, MA 02462
Phone (617) 916-0782

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1407345218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TEMPLE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024652316",
            "telephone_number": "617-733-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CALIFORNIA ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581005",
            "telephone_number": "617-939-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND SLEEP MEDICINE CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "VERNOVSKY",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-939-6497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "151498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.